Dissertations / Theses: 'Clinicians'

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Love, Amithea M. "Rural Clinicians’ Perceived Ethical Dilemmas: Relationships with Clinician Well-Being and Burnout." Antioch University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1421066142.

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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7616.

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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7617.

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Wallace, Rick L., and Nakia J. Woodward. "Merging Rural Clinicians with Information: the Use of PDAs to Address Clinician Illiteracy." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/8741.

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Weiner, Jessica, Mary Trifiro, Lauren Fabrize, Kara Detty, and Brenda Louw. "Clinician-Research Collaboration: Determining Research Interests & Needs of Clinicians in the Tri-Cities, Tennessee." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/192.

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The researcher-clinician gap has been acknowledged in the literature and has been attributed to a variety of factors. According to Olswang and Prelock (2015), this term refers to a gap between "what we know, and what we do" in the profession, and is essentially the gap between knowledge and evidence. There is often, but not always, a disconnect between what researchers are publishing and what is actually being implemented in a clinical setting (Olswang & Goldstein, 2017). Olswang and Goldstein (2017) provided a suggestion for bridging this researcher-clinician gap, namely through an active partnership during the research and development process. Researchers need to work together with practicing clinicians in order to help better understand delivery needs, which results in an active partnership between research and delivery (Olswang & Goldstein, 2017). An active partnership supports researchers to discern service delivery needs and the realities of the clinical world, which allows for a more balanced way to address internal and external validity while developing treatment protocols which can be implemented into practice (Olswang & Goldstein, 2017). Research is a costly and complex process that requires the collaboration of many individuals. Speech-language pathologists have numerous obligations that may hold them back from playing an active role in research collaboration. According to Craig (2014), the three major barriers that prevent clinicians from research collaboration include lack of time, lack of education and training, and lack of funding. Despite these barriers, collaboration in the field of SLP is crucial for the development of evidence-based (EB) resources for clinicians and to ensure the best outcomes for clients. Furthermore, collaboration between researchers and practicing clinicians can create relationships that evolve and grow stronger over time, which will, in turn narrow the researcher-clinician gap and improve evidence-based practice being pulled into clinical use. Involving practicing clinicians in research by formulating and answering questions relating directly to clinical practice has been suggested to address the researcher-clinician gap (Olswang & Goldstein, 2017). A first step to bridge this gap is to determine the research interests and needs of practicing clinicians. This should lead to the identification of research areas of shared interest and can form the basis of new research collaborations. Such clinical research projects will have the potential to inform clinical practice and benefit the clients and families we serve. The purpose of this survey research is to determine and describe the research interests and needs of practicing clinicians in the Tri-Cities area in Tennessee (TN).Method: An exploratory, descriptive design with quantitative and qualitative analysis was used to explore research interests of practicing clinicians within the Tri-Cities, TN. An exploratory design was deemed appropriate due to the paucity of research on the topic. This study addressed the following questions: What role does research play in the local practicing clinicians' activities?; What are the barriers to consuming and conducting research by local practicing clinicians?; What are the primary research resources of local practicing clinicians?; What are the research needs of local practicing clinicians?; Are local practicing clinicians interested in collaborating on research?; How do local practicing clinicians view themselves contributing to collaborative research?; and What are the differences between work settings, research resources, and interest in research? An electronic survey was developed based on an in-depth literature on the topic and a review of survey research (e.g. Blessing & Forister, 2012; Irwin, Pannbacker & Lass, 2014). The survey consisted of four sections: Research Background, Research Interest, Research Collaboration, and Demographics. It contained 23 questions. The question and response format consisted of the following: 1 question was open-ended and 22 used a semantic differential scale (i.e., Likert-Scale and verbal frequency scale). IRB approval was obtained. Purposive sampling was used as local SLPs certified by ASHA were targeted. A cover letter served to recruit respondents via email. An online survey system, SurveyMonkey ™ was utilized to administer the survey to local practicing clinicians. Descriptive and inferential statistics will be used to analyze the data. Thematic analysis will be performed on the results obtained from the open question. Results: The results will be described both quantitatively and qualitatively. Results will be presented in terms of the practicing clinicians’ overall research needs and with differences between work settings, research resources, and interest in research. Correlations will be determined between variables such as work setting, time to collaborate on research, and research needs. The implications of the findings will be discussed in terms of suggestions for research resources, interests, and potential future collaboration between practicing clinicians and researchers. Recommendations for further research will be discussed. This preliminary research project will serve as a stepping stone to establishing practicing researcher-clinician collaboration in the Tri-Cities, TN area.Conclusion: The researcher-clinician gap remains a concern in the field of speech-language pathology. However, researchers and practicing clinicians can collaboratively create relationships that evolve and grow stronger over time. This in turn will narrow the researcher-clinician gap and improve evidence-based practice to the benefit of the clients served.

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Daglish, Amy. "Clinicians' use of behavioural techniques in CBT : the role of patient and clinician characteristics." Thesis, University of Sheffield, 2018. http://etheses.whiterose.ac.uk/21526/.

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Brown, Michael. "Clinician-client interactions in MET : the effect of clinicians' utterances on client commitment talk." Thesis, University of Leeds, 2014. http://etheses.whiterose.ac.uk/8054/.

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Motivational Interviewing is an effective treatment for a range of problematic behaviours. However, previous studies have revealed substantial variability in the effectiveness of clinicians. Curiously, the specific clinician behaviours which contribute to positive outcomes have rarely been studied. Previous studies have often focused on the impact of broad categories of clinician behaviour on outcomes; such outcomes have often been overt client behaviours. The current study represented a substantial shift from the dominant methodologies in the MI literature. It aimed to study the effect specific clinician behaviours had upon client’s preparatory talk and strong commitment talk, in the second-to-second interactions between clinicians and clients. A secondary analysis of Motivational Enhancement Therapy sessions was conducted, using recordings obtained during the United Kingdom Alcohol Treatment Trial (UKATT). Recordings were sampled from those clients who achieved and maintained positive changes in readiness to change following the UKATT study. Recordings were parsed and coded, with data being subjected to sequential and regression analyses. The findings revealed that clinicians’ complex reflections were associated with, and predictive of, significantly more strong commitments from clients. Open questions and complex reflections were both associated with significantly more preparatory talk. However, only complex reflections acted as a significant predictor of preparatory talk. It is concluded that complex reflections and open questions are necessary for the proficient practice of MI, and that clinicians should tailor their approach to match their client’s current motivational state. Moreover, the effectiveness of MI is likely attributable to a combination of the ‘spirit’ of MI and the proficient use of such skills, and possibly other specific skills. It is proposed that future research into MI and other psychological therapies should investigate the role of complex reflections, open questions and other specific clinician behaviours on client outcomes of interest.

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Miller, Mandy Renee. "Preventing burnout among clinicians." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3204.

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The purpose of this study is to identify factors that protect social workers and other clinicians from experiencing burnout. Many things contribute to job burnout among clinicians. Some examples of contributing factors include a shortage of government funding, heavy caseloads, and a lack of autonomy. However, this study will look at workplace factors that are more amendable to change in the agency's environment.

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Detty, Kara, Lauren Fabrize, Mary Trifiro, Jessica Weiner, and Brenda Louw. "Clinician-Research Collaboration: Determining Research Interests and Needs of Clinicians in the Tri-Cities, TN." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/3812.

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This research explores the disconnect between researchers and practicing clinicians on research collaboration, which is attributed to various barriers, therefore creating a researcher-clinician gap. Survey research was conducted and practicing clinicians in the Tri-Cities region of Tennessee acted as respondents. Results may contribute to establishing practicing clinician-research collaboration in this context.

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Phillips, Andrew. "Engaging clinicians in cocreating health." Thesis, University of South Wales, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.702335.

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This thesis contributes to the wider debate on Prudent Healthcare and Relational Practise. The study aimed to determine how to engage clinicians in cocreating health by developing a framework for cocreating health to support the patient-clinician interaction and to identify the factors in its successful implementation in health services. The interaction between patients and clinicians is at the heart of health care. They are the first point of contact and a familiar interaction with the health service for most patients. Within UK health services there are three hundred million consultations held every year. Consultations happen in a variety of contexts, locations and with many different clinical professions. The overwhelming majority of these interactions follow a set pattern, the rules of engagement, which governs how patients are examined, histories established, symptoms described, test results discussed, progress monitored, treatment options given and decisions made. However, the traditional medical model of consultation can reinforce a power imbalance between clinician and patient, and create paternalistic relationships that reduce patients' control, leading to their 'systematic disempowerment'. Cocreating health is about enablement, viewing patients as assets not burdens and seeks to support them to recognise, engage with and develop their own sense of resourcefulness building on their own unique range of capabilities. Cocreation means that health care services support people's individual abilities, preferences, lifestyles and goals. In a cocreating health model of interaction, patients work with a supporting clinician. Such interactions consider the patient's life goals, how they plan to work towards them and what support they need to help her get there. Working in cocreation, a clinician would support patients to think about goals that are meaningful and adaptive. A number of elements of cocreating health such as self-supported management and decision support have previously been developed. However, these have generally been implemented within the context of the traditional 'medical model' of consultation. In the development of the cocreating health framework, a mixed qualitative and quantitative approach was taken to explore different aspects of cocreating health and to triangulate knowledge obtained from the different methodologies. Principles of grounded theory were used in the qualitative research. Data and insights were obtained in two phases. In the first phase, over thirty workshops were held with over five hundred participants from Welsh Government, local authorities, voluntary sector and across the NHS in Wales including policy makers, leaders of health services and clinicians. Insights from these participants combined with knowledge gained from the literature review were used to develop a cocreating health framework for testing. The initial data suggested that for clinicians, working collaboratively with patients in agenda setting was the most unfamiliar and potentially transformative element of cocreating health. Accordingly, training was arranged for one hundred and sixty four clinicians whose attitudes towards cocreating health were explored using questionnaires. In the second phase, semi structured interviews were held with thirty one participants from

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Keeley, Jared Wayne Blashfield Roger K. "Clinicians' conceptual use of comorbidity." Auburn, Ala, 2009. http://hdl.handle.net/10415/1709.

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Hartman, Jennifer S. "ARE CLINICIANS BIASED? THE ROLE OF CLIENT VARIABLES IN CLINICIAN ASSESSMENT AND DIAGNOSIS OF DEPRESSIVE DISORDERS." University of Cincinnati / OhioLINK, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=ucin998321388.

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Wallace, Rick L., and Nakia J. Cook. "Connecting Rural Clinicians to Health Information." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/8738.

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Objective: To determine if a personal digital assistant (PDA) with drug and evidence-based disease information software programs and with librarian training and follow-up can adequately meet at low cost the information needs of clinicians in rural areas with low information availability. Methods: A randomized clinical trial methodology was used. Eight hospitals were selected in rural Appalachia based on accepted definitions of rurality. The hospitals were randomized into two groups of four hospitals with forty PDA users in each group. Both groups were treated equally, except the information needs of one group were measured using a validated instrument before the intervention and in the other group several months later. The survey instrument measured factors such as level of satisfaction with information retrieved in the clinic, required time to find an answer, and frequency of answers found for clinical questions.

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Hortynska, Kamila Ewa. "Clinicians' journey of becoming mindfulness practitioners." Thesis, University of Leeds, 2011. http://etheses.whiterose.ac.uk/1981/.

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Introduction: Growing interest in the use of mindfulness-based interventions and increasing empirical evidence for its effectiveness suggest that more clinicians may become interested in mindfulness. Although there are studies on clients, as yet, there are no published studies exploring trajectories and experiences of clinicians developing as mindfulness practitioners. Objectives: This study aimed to explore mental health professionals’ experiences of becoming mindfulness practitioners in order to enrich our understanding of what facilitates and hinders development in this area. Design: Since this was a new area of investigation, an exploratory qualitative study was used to gain information. A method focused on generating rich accounts of participants’ experiences, seemed most suitable methodology. Methods: Six clinicians with previous experience of mindfulness meditation were interviewed. Interpretative Phenomenological Analysis (Smith, Flowers & Larkin 2009) was used to examine the transcripts and generate superordinate themes. Results: Clinicians reported several benefits from the development of mindfulness practice in both, personal and professional lives. Main supportive factors in the development and maintenance of mindfulness practice were presence of like-minded others, certain flexibility towards mindfulness use and expected gains, and integration of mindfulness into one’s personal and professional life. Conclusions: Experiences of mindfulness reported by clinicians were congruent with those found in clinical and non-clinical populations, in previous studies using both qualitative and quantitative methodologies. Findings were consistent with the framework described by Kristeller (2004). Additional research is needed to further investigate the developmental trajectories of mindfulness practitioners.

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Bitter, James Robert. "Current Therapeutic Practices: A Clinicians Forum." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/5247.

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Hancock, Vallerie. "Clinicians' Attitudes Toward Sex Offender Treatment." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7804.

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Clinician attitudes toward a client have a significant influence on outcomes for that client's treatment. Exploring the attitudes of clinicians toward sex offenders can provide additional insights into methods to improve treatments for this population. The purpose of this qualitative grounded theory study was to examine the attitudes of clinical professionals who work with sex offenders to identify the specific ways that these attitudes influenced professional behaviors and client interactions. Grounded theory was used to move beyond a general description of the issue to formulate a theory regarding clinician work with sex offenders and its implications. The sample comprised 10 clinical professionals who worked with sex offenders in community mental health agencies. Open coding and axial coding were used to generate themes from in-depth semistructured interviews to collect data from clinicians who treated sex offenders. Findings indicated that the professionals were mostly concerned for the behavior of sex offenders, were willing to work with them despite feelings of anger and disgust and were curious about the possibility of treatment. Participants treated sex offenders like any other clients but emphasized the importance of safety during treatment. Participants balanced their obligations to the profession and the client with negative images and views of sex offenders. These professionals struggled when providing treatment to sex offenders but described strategies for coping or overcoming negative feelings, emotions, and biases. Clinicians can use these findings to deliver better planned care to this population, resulting in better therapeutic outcomes for sex offenders.

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Matich, Theresa. "Attitudes toward Antisocial Personality Disorder Among Clinicians." CSUSB ScholarWorks, 2014. https://scholarworks.lib.csusb.edu/etd/44.

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The objective of this study was to explore the attitudes toward antisocial personality disorder among clinicians. The researcher created a 15 question survey to interview clinicians in hopes of eliciting information about their attitudes toward this population. The survey consisted of seven open ended questions and eight Likert scale questions. The researcher analyzed the data by transcribing the interviews and looking for common themes among the responses. Likert scale questions were tallied and compared in SPSS to determine the spread of the answers. The results of the study showed there are negative attitudes among clinicians currently in direct treatment settings; attitudes were more neutral among clinicians who are currently not involved in direct practice. In applying the theory of reasoned action it is suggested clinicians in direct practice who hold negative views display behaviors that affect the treatment process and outcome. The researcher’s recommendation for future study is to explore the attitudes of other helping professionals in comparison to social work practitioners.

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Essex, Ryan William. "Australian Immigration Detention: How Should Clinicians Respond?" Thesis, The University of Sydney, 2019. http://hdl.handle.net/2123/20642.

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Australian immigration detention violates human rights and international law. Clinicians and professional healthcare bodies have been central to its operation, both providing healthcare within detention centres and protesting its consequences. Since its introduction over 25 years ago and despite ongoing protest the government has continued to implement increasingly opaque and punitive policy. How should clinicians respond? This thesis sets out to challenge over 20 years of thinking on this topic, calling for a shift in how clinicians and professional bodies engage with Australian immigration detention. I argue that current responses to the health and healthcare needs of those detained are inadequate. I reject a boycott but call for such action to be seen within a broader strategy aimed at bringing about social and political change. I propose a theoretical base to inform such a stance, by appealing to social movement theory and other theories of social change. I demonstrate how such theory can be applied to inform systemic, social and political change, and I argue that clinicians and professional bodies should embrace this approach which includes employing forms of political action such as protest, disruption and civil disobedience.

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Cook, Jonathan R. "A structural model of organization - and clinician-specific factors that predict standardized measure use among child and adolescent clinicians." Diss., Columbia, Mo. : University of Missouri-Columbia, 2008. http://hdl.handle.net/10355/6112.

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Thesis (M.A.)--University of Missouri-Columbia, 2008.
The entire dissertation/thesis text is included in the research.pf file; the official abstract appears in the short.pf file (which also appears in the research.pf); a non-technical general description, or public abstract, appears in the public.pf file. Title from title screen of research.pf file (viewed on August 20, 2009) Includes bibliographical references.

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Smith, Liz. "How do clinicians use guidelines in decision making?" Thesis, University of Aberdeen, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.252143.

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This thesis presents a series of studies about general medical practitioners’ patient management decisions in depression and the role of the clinical guideline within these. The goal of the research was to identify the factors that influence their prescribing and to investigate how guideline use could be increased so as to promote clinical effectiveness. A lens model study found that GPs tend to over prescribe compared with the guidelines and place much more emphasis on patients’ reports of thoughts of suicide and sleep disturbance than the guideline. Although GPs’ judgement data were well described by regression models, a simple fast and frugal model of decision-making explained the judgement data equally well. A cluster analysis was carried out on the resulting GPs’ decision policies and 3 clusters emerged which could be differentiated by the size of practice they worked in. GPs in the larger practices had decision policies, which were more like those of guideline recommendations. GPs were found to have good self-insight in to their decision-making when a policy recognition task was used. A further analysis found that GPs in one area in England prescribed at a greater rate than those in the Grampian region of Scotland and decision policies showed that patient treatment preference had less influence on the English GPs’ decisions. The results from these quantitative studies were explored further by using in-depth interviews with GPs. A number of factors which help to explain why the GPs are sometimes prevented from following guideline recommendations and fulfilling patient treatment wishes and why changing behaviour in order for it to be more compliant with guideline recommendations it so difficult.

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Smyth, Michael A. "Prehospital recognition of sepsis by ambulance clinicians (PRoSAiC)." Thesis, University of Warwick, 2017. http://wrap.warwick.ac.uk/103086/.

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Context: Prehospital recognition of adult patients with sepsis may inform scene management by ambulance clinicians, improve decisions concerning both appropriate hospital destination and urgency of transport, as well as facilitate early intervention before arriving at hospital. Objective: To develop a prehospital sepsis screening tool, derived from prehospital data, for use by ambulance clinicians. Design: The thesis comprises a systematic review of sepsis among adult patients in the prehospital environment, followed by the derivation and validation of a sepsis screening tool, utilising a retrospective data cohort comprising data from West Midlands Ambulance Service (WMAS) and the Emergency Department at University Hospital North Staffordshire (UHNS). This is followed by a comparison with alternate screening tools. Patients: Consecutive patients transported by WMAS (n=38483) to UHNS between 01 July 2013 and 30 June 2014. Records were linked using LinkPlus® software. Successful linkage was achieved in 33289 cases (86%). Eligible patients included adult, non-trauma, non-mental health, non-cardiac arrest cases. Of 33289 linked cases, 22945 cases were eligible. The eligible cases were randomly divided into derivation (n=16063, 70%) and validation (n=6882, 30%) cohorts. Outcome Measure: High risk of sepsis, as defined by the 2016 National Institute for Health and Care Excellence (NICE) Sepsis guideline (NG51). Results: High risk of sepsis was present in 3.7% of both derivation (n=593) and validation (n=254) cohorts. The Screening to Enhance PrehoSpital Identification of Sepsis (SEPSIS) tool is composed of the following variables: age, respiratory rate, peripheral oxygen saturations, heart rate, systolic blood pressure, temperature and level of consciousness (p < 0.001 for all variables). Area under the receiver operating characteristic curve was 0.87 (95%CI 0.85-0.88) for the derivation cohort, and 0.86 (95%CI 0.84-0.88) for the validation cohort. Applying a cut-off of 3 or higher, sensitivity for the SEPSIS screening tool was 0.80 (95%CI 0.74-0.84), specificity was 0.78 (95%CI 0.77-0.79), positive predictive value was 0.12 (95%CI 0.10-0.14), negative predictive value was 0.99 (95%CI 0.99-0.99), positive likelihood ratio was 3.56 (95%CI 3.30-3.85), negative likelihood ratio was 0.26 (95%CI 0.21-0.34) and the diagnostic odds ratio was 13.5 (95%CI 9.9-18.4). Conclusion: The SEPSIS screening tool was significantly associated with high risk of sepsis status on arrival at the Emergency Department. It performs marginally better than both the UK Sepsis Trust “Red Flag” algorithm and National Early Warning Score (NEWS≥5) in an undifferentiated, adult, medical population. The SEPSIS screening tool requires external validation, in clinical practice by ambulance clinicians, in an independent population.

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Wright, Stephen. "Depersonalisation, burnout and resilience among mental health clinicians." Thesis, Canterbury Christ Church University, 2017. http://create.canterbury.ac.uk/16466/.

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Burnout in human services has become a widely researched psychological concept over the last 40 years (Shaufeli, Leiter & Maslach, 2009). Negative outcomes of clinician burnout in mental health services is well documented, however less research has focused on the specific burnout subsection of depersonalisation (Maslach, 1998). A mixed methodology was used which aimed to examine predictors of depersonalisation among qualified clinicians employed in NHS mental health services, as well as an exploration of experiences of resilience and burnout. A total of 261 Mental Health Nurses, Clinical Psychologists and Social Workers employed in NHS mental health services completed an online survey and open-ended qualitative questions. Multiple regression analysis suggested five significant predictors of depersonalisation; clinicians’ specialties, years of experience post-qualification, exposure to physical abuse, emotional exhaustion and low ratings of personal achievement. No significant differences of depersonalisation were reported among different professions. Thematic Analysis of responses to open-ended questions suggested that a ‘love of the job’ or desire to ‘help service users’ supported resilience. Job stressors such as exposure to physical abuse or bullying were reported as detrimental to resilience. Implications of maintaining compassionate and effective client care were discussed as well as limitations and areas of future research.

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Emanuelli, Francesca. "Recovery from eating disorders : sufferers' and clinicians' perspectives." Thesis, University of East London, 2008. http://roar.uel.ac.uk/3771/.

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Background: Disagreement exists on how to best define recovery from eating disorders. Definitions to date range from physical to cognitive, emotional, psychological and social. However, none provides a multidimensional perspective and few address sufferers' perspectives and comparisons between sufferers' 1 and clinicians' views. This study investigated recovery from sufferers' and clinicians' perspective using a multidimensional recovery model. Methods: Participants were individuals with a past or present self-defined eating difficulty and clinicians working in the field of eating disorders. Participants read counterbalanced vignettes, in which an individual's eating difficulty was either restrictive or bulimic and her functioning varied along somatic, psychological, emotional, social, eating-related, and body experience-related domains. Participants rated the extent of the individual's recovery. They also completed a checklist, rating the importance of a range of recovery criteria (i.e., somatic, psychological, emotional, social, eating-related, and body experience-related). Results: Overall, there was agreement about the relative importance of recovery criteria, with weight-control, appearance-related, psychological, emotional, and social criteria described as more important than somatic criteria and eating-related behaviours. However, sufferers tended to stress the importance of appearancerelated, psychological, emotional and social improvements, while clinicians stressed the primacy of somatic and physical changes. The type of eating difficulties (i.e., restrictive or bulimic) did not influence recovery assessments. Analyses of the structure of the recovery criteria checklist showed that these criteria fell into meaningful factors (i.e., Psycho-emotional-social criteria, Weightcontrolling behaviours, Non-life threatening features, Life-threatening features, and Evaluation of one's own appearance). Conclusions: The results are discussed in relation to existing recovery research. Study limitations and suggestions for possible future research are outlined. Guidance is offered regarding the findings' clinical implications, with particular attention to how to facilitate recovery within current therapeutic work. 1 For this thesis' purposes and simplicity's sake, 'sufferers' will refer to individuals with an active or past mental health difficulty. The researcher is aware of this choice' limitations and of the debate over the terms to indicate individuals given psychiatric diagnoses (e.g., Tait & Lester, 2005).

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Salihovic, Asko. "Compassion fatigue : interpreters and clinicians in trauma work." Thesis, University of East London, 2008. http://roar.uel.ac.uk/3780/.

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This sequential mixed design study aimed to: examine the rates of compassion fatigue (CF), compassion satisfaction, and burnout, identify best predictors of CF, and explore participants' personal experiences, understanding and ways of coping with this phenomenon. 46 interpreters, health advocates and therapists working with trauma survivors participated in the quantitative sequence, four of which were randomly selected for subsequent semi-structured interviews. CF was measured by Compassion Satisfaction/Fatigue Self-Test for Helpers (Stamm 1995-1998), empathy was measured by Hogan Empathy Scale (HOS-R) (Greifand Hogan 1973), exposure was quantified as trauma work hours per week, and perceived social support measure was designed for the purpose of this study. It was hypothesised that empathy would be a significant predictor of compassion fatigue, and that there may be differences in the predictive value of the analysed variables between clinicians and interpreters. In the stepwise multiple regression for interpreters, perceived social support (F\i,n = 6.96, p < 0.05) explained 29% of variance in compassion fatigue, exposure (Fjjt = 6.47, p < 0.05) explained additional 20%, while empathy was excluded from the analysis. In clinicians, empathy explained 49% of variance in compassion fatigue (Fi,25 = 24.27, p < 0.001), while exposure and perceived social support were found not to be significant predictors. Therefore, greater susceptibility to compassion fatigue was associated with greater empathic ability only for clinicians. For interpreters, social support, followed by exposure, was the best predictor of compassion fatigue. The second phase of the study added a qualitative dimension to the investigation. Semi-structured interviews were used to explore experiences, perceptions, and understanding of compassion fatigue, coping and compassion satisfaction in four randomly selected participants from the same sample. Interpretative Phenomenological Analysis (IPA) revealed a number of core and master themes, some of which have complemented the quantitative findings. The study was discussed in the light of the relevant literature and critically evaluated in terms of its limitations, implications and the scope for further research.

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Grugan, Patrick K. "The mindfulness practice of clinicians| A systematic review." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10038439.

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Mindfulness interventions and practice have seen a recent explosion of interest among researchers and practitioners. The present study examines the research literature on the role of mindfulness in the practice of psychotherapists, specifically in the areas of stress management for clinicians, management of countertransference, development of the therapeutic alliance and attunement, development of empathy and therapeutic presence, and client outcomes. Both qualitative and quantitative research articles published over the past 10 years have been included and meta-analytic techniques utilized where possible. Examination of these data shows that mindfulness is associated with better ability to manage stress among clinicians, better therapeutic alliance, increased empathy, and better client outcomes. These data raise important theoretical and practical considerations, including questions about what makes mindfulness effective, issues regarding the use of techniques derived from the Buddhist tradition outside of their cultural and ethical contexts, and others. Implications and ideas for further research are discussed.

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Howard, Christopher. "Promoting Resiliency: Vicarious Posttraumatic Growth in Trauma Clinicians." Antioch University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1298593658.

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Crouch, Robert. "An investigation into the effects of a computer based decision support program on Accident and Emergency nurses' assessment strategies in telephone consultation." Thesis, University of Surrey, 2000. http://epubs.surrey.ac.uk/953/.

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McNamara, Clare. "An evaluation of clinicians methods of arch form selection." Thesis, University of Bristol, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.492648.

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Muttiah, Nimisha. "Controversial therapy and evidence-based practice the clinicians' perspective /." Bowling Green, Ohio : Bowling Green State University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1206325052.

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Rocha, Kara L. "Exercise Prescription for Cardiac Rehabilitation| A Guide for Clinicians." Thesis, California State University, Long Beach, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=10974777.

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Cardiac rehabilitation is a multifaceted intervention aimed to enhance health and wellness in patients with cardiovascular disease and chronic heart failure. Many books on cardiac rehabilitation primarily focus on pathology, risk stratification, and patient assessment while giving less attention to designing an exercise regimen. Exercise Prescription for Cardiac Rehabilitation: A Guide for Clinicians concentrates on developing exercise programs for individuals with chronic heart disease based on recommendations from current research to meet a patient’s personal goals. The purpose of this project is to present health care providers with comprehensive recommendations for treatment plans appropriate for each phase of recovery during rehabilitation. Through this guide, readers can better create individualized programs to help patients progress based on their skills, abilities, and physical capabilities. Physical activity will ultimately lead to short and long term benefits while increasing overall health and quality of life in patients with cardiovascular disease.

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Wallace, Rick L., Nakia J. Woodward, and Elizabeth A. Wallace. "An Assessment of Information Interventions with Isolated Rural Clinicians." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/8709.

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East Tennessee State University medical library has a strong interest in helping rural clinicians access library resources. The objective of this study is to analyze the information practices of rural Northeast Tennessee clinicians.

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Wallace, Rick L., and Nakia J. Cook. "Rethinking Ways to Provide Library Services to Rural Clinicians." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/8725.

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Wallace, Rick L., and Nakia J. Cook. "Rethinking Ways to Provide Library Services to Rural Clinicians." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/8733.

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Objective: The purpose of this study was to analyze an ongoing project centered on satisfying basic clinical information needs of rural clinicians who work in hospitals without libraries or librarians by providing personal digital assistants (PDAs) equipped with clinical information databases augmented with full-text Loansome Doc delivery. Three projects have been instituted since 2006, in which 330 PDAs were distributed with training. Methods: This was a qualitative study that primarily involved individual interviews of participants in one of the three projects. Interviews were recorded and transcribed, and themes were analyzed. The process continued until data saturation was achieved. Results: Much information has been discovered about the value of the services provided and what can be done to better address clinician information needs. Data collection is ongoing. Conclusions: Medical librarians, particularly those in academic centers, must reach out and find new ways to enable rural clinicians to stay current with the explosion of new biomedical information.

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Muttiah, Nimisha Anya. "Controversial Therapy and Evidence-Based Practice: The Clinicians' Perspective." Bowling Green State University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1206325052.

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Graceffo, Robert Anthony. "Explicitly and Implicitly Assessed Personality Traits of Practicing Clinicians." University of Toledo / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1437134039.

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Akuamoah-Boateng, Agyenim. "Competence of Behavioral Health Clinicians in Integrated Care Settings." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5443.

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Collaborative efforts between medical and behavioral health professionals is required to simultaneously treat individuals with medical and mental health disorders. However, there is lack of focus on the competencies and trainings needed by behavioral health clinicians (BHCs) transitioning to integrated primary care (IPC) settings. The purpose of this qualitative interpretive phenomenological study was to describe the lived experiences of BHCs who have transitioned from specialty outpatient behavioral healthcare settings to IPC settings. Semi-structured interview questions were used to collect data. Using interpretive phenomenological data analysis approach, themes and the shared meanings and experiences of 8 licensed BHCs were explored. Seven participants had graduate degrees and 1 participant had post-graduate degree. All participants had at least a year of experience working in IPC settings, worked full-time in North Carolina, and had over a year of experience in traditional behavioral healthcare settings. Results indicated that participants shared experiences in 5 themes: (a) clinical experience, (b) effective communication, (c) collaboration with primary care providers(PCPs), (d) continued education and trainings, and (e) care coordination. The outcome of this research will inform institutions, administrators, and credentialing boards to consider implementation of defined competencies for BHCs in community health centers that operate on IPC principles to ensure collaborative efforts between BHCs and PCPs in order to help provide effective holistic and affordable health care in a systems-based approach.

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O'Heron, Rhyannon Leah. "Pregnant queer clinicians an exploratory study of the countertransference experiences of queer clinicians during their first pregnancies : a project based upon an independent investigation /." Click here for text online. Smith College School for Social Work website, 2007. http://hdl.handle.net/10090/1004.

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Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007
Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 74-75).

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Rainey, Diane L. "Behind closed doors the experiences of advanced clinicians in supervision /." Click here for text online. The Institute of Clinical Social Work Dissertations website, 1997. http://www.icsw.edu/_dissertations/rainey_1997.pdf.

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Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 1997.
A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy.

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Chak, Kam Keung Felix. "Clinicians' perspectives on assessing older adults with early life trauma." Thesis, California Institute of Integral Studies, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10117915.

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The purpose of this study is to explore clinicians’ perspectives on assessing older adults with early life trauma. While research has shown that traumatic experiences are common in childhood and early adulthood, there has been a dearth of research on the perspectives of clinicians working with older adults with early life trauma. In this current study, the researcher interviewed 8 licensed clinicians with an average of 11 years of clinical experience working under varying professional licenses. Utilizing grounded theory methodology, semi-structured interviews were conducted to answer the primary research question: What are the experiences, insights, and reflections of clinicians on assessing older adults with early life trauma? A grounded theory of barriers and corresponding strategies for assessing older adults with early life trauma was developed from data derived from the interview transcripts of 8 participants. Two categories and 7 subcategories were identified and saturated with 24 major codes and 3 minor codes. The category impact of childhood trauma in late life was determined to be the context of the grounded theory. The context elaborates the prevalence and common types of early life trauma of older adults, its relationship with the aging process, and its impact on mental health. The results indicate there are 6 barriers to assessing early life trauma that can be categorized into two groups: (a) older adult’s factors and (b) clinician’s factors. In order to tackle these barriers, 9 corresponding strategies proposed by the participants were categorized into three groups: (a) relationship building, (b) information gathering, and (c) knowledge acquiring. The results of this study provide evidence that posttraumatic stress symptoms may emerge or re-emerge in older adults with mental health issues. This is the first study from clinicians’ perspectives to point out the barriers and corresponding strategies for assessment of early life trauma in older adults. The emergent theory is not a traditional theoretical model, but rather provides practical guidelines for clinicians to be more prepared for the challenges of assessing the early life trauma of older adults.

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Somal, Justina. "Adolescent romantic relationships : exploring the perspectives of clinicians and adolescents." Thesis, University of Wolverhampton, 2015. http://hdl.handle.net/2436/620476.

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Aims and Rationale: Romantic relationships are recognised for playing a pivotal role for the emerging adolescent. These relationships are frequently reported to be detrimental to adolescent emotional and psychological well-being, though research focusing on adolescents’ romantic relationships in a clinical capacity is significantly restricted. This study endeavours to understand factors that affect youth in romantic relationships according to practitioners, and how these factors correspond to adolescents with no experience of therapy. These findings aim to broaden an understanding of the subject area, develop therapeutic practices and explore whether adolescents would benefit from counselling regarding their romantic relationships. Method: A mixed-method approach was used to carry out semi-structured interviews with 7 therapeutic practitioners to explore factors that affect adolescent romantic relationships. Themes extracted from a thematic analysis were used to develop an online q-sort survey with a non-clinical adolescent sample. Subjective viewpoints of 33 adolescents were quantitatively examined and triangulated with practitioners’ views. Results: The triangulated findings developed an understanding of factors that may affect adolescent adjustments to romantic relationships. Perspectives held by practitioners and those from adolescents, suggested key differences in developmental benefits, emotional and social adjustments and the role of adults. Similarities regarding the difficulties experienced by adolescent males were identified. Conclusion: Contributions of the findings go beyond whether counselling is appropriate or needed for adolescents in a romantic relationship. They add to an understanding of the discrepancies in the way romantic relationships are perceived by practitioners in affecting adolescents’ adjustments and development, as opposed to how young people actually experience these relationships.

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Schultz, Abby, L. Crosnoe-Shipley, Brett T. Morgan, and Ivy A. Click. "Improving Evidence-Based Contraceptive Management Among Clinicians in Rural Tennessee." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6384.

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Chalmers-Brown, Anna. "Mental health clinicians' perspectives on working with Community Treatment Orders." Thesis, University of East London, 2013. http://roar.uel.ac.uk/3438/.

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This research explores the beliefs and experiences of mental health clinicians working with people who are subject to a Community Treatment Order (CTO). Previous research indicates that the effectiveness of CTOs is questionable and there have been debates about the ethics of compulsory community treatment generally. The opinions of stakeholders are therefore important. Previous research with mental health clinicians has predominantly been quantitative and survey-based. Participants took part in a semi-structured interview which focused on their views about CTOs based on their clinical experiences. A Grounded Theory approach was adopted to collect and analyse the data. Two core categories were constructed from the data: ‘Factors influencing decision-making in the use of a CTO’ and ‘Impact of decisions’. The first core category contained the subcategories ‘Service user characteristics’, ‘Clinicians’ constructions of appropriate care and treatment’, ‘Clinicians’ knowledge’, ‘Pragmatic and systemic influences’ and ‘Societal influences’. The second core category contained the subcategories ‘Impact on service user’, ‘Impact on therapeutic relationship’, ‘Impact on clinician’, and ‘Impact on service delivery’. The current research is placed in the context of previous literature. The limitations of the study are described. The clinical and research implications are explored.

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Wells, Mark A. "An Evidenced-Based Pain Management Module to Improve Clinicians' Knowledge." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3477.

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Chronic pain syndrome continues to be a national health concern among all medical specialties. It has an impact on the entire health care system and if current trends continue, the economic impact alone will exceed 100 billion dollars. In 2014, 254 million prescription opioids were written in the United States. During this time, an increase in prescription opioid related deaths was seen, with approximately 20,101 deaths occurring in 2015. Properly trained clinicians across the health care system are needed to achieve successful patient outcomes, while reducing cost, morbidity, and mortality. The purpose of the scholarly project was to develop a comprehensive, opioid-specific, expert reviewed and evidenced-based educational module for health care clinicians of all specialties. Using the guidelines offered by the Center for Disease Control in 2016, the content of the project was developed with a primary focus on the clinical processes, pharmacological properties, and appropriateness of opioids in the treatment of chronic pain. The educational module was disseminated to 10 experts in the field of pain management and family practice. Each of them was asked to evaluate the educational module and evaluate it from an expert standpoint via Likert-scale evaluation form. The data revealed a median score of 4.5 out of 5 for most all categories, demonstrating the project's ease of use, evidenced-based content, and its ability to further expand the knowledge of clinicians. The project will be presented to stakeholders and state representatives for wide spread distribution. Educating health care professional over the continuum will ensure effective social change and shift the current trends in prescription opioid related mortality and morbidity.

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Schoech, Katherine Elaine. "Clinicians' Perceptions of Trauma Treatment for People with Intellectual Disabilities." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4171.

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People with intellectual disabilities (ID) experience trauma and posttraumatic stress disorder (PTSD) in similar ways as individuals in the general population. The purpose of this phenomenological study was to explore and describe clinicians perceptions of trauma treatment for people with ID. Theories of trauma, PTSD, and stigma were part of the conceptual framework from which interview questions were developed. Purposive and snowball sampling were used to recruit 8 participants in the Denver, Colorado area. Four participants had experience working with people with ID, and 4 participants did not have this experience. Participants sat for semi structured open-ended recorded interviews, which were used to gather data for interpretation. Eight essential themes were identified: (a) chosen field, (b) lack of training, (c) stigma and stereotypes, (d) they're just folks like us, (e) preying on their vulnerabilities, (f) PTSD and trauma symptoms are the same with people with ID, (g) EMDR and the adaptive information processing theory, and (h) mindfulness interventions. The participants dispelled myths such as people with ID do not experience trauma and PTSD, and people with ID cannot participate in trauma therapy such as EMDR. Participants who had experience working with people with ID wanted more training on adaptations for treatment interventions, and participants without this experience welcomed advanced training on trauma treatment for people with ID. This study adds to the research on trauma treatment for people with ID and may affect social change by inspiring more conversations among clinicians on appropriate trauma treatment for people with ID. Clinicians with experience can build stronger relationships with community mental health centers, and continue to educate, clients, families, direct care providers, and agency personnel on trauma-informed care.

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Jones, Carol L. "Clinicians' Perceptions of North Carolina's 10-Year Primary Prevention Plan." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2664.

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The cost of domestic and intimate partner violence (DIPV) exceeded $8 billion annually on a national level, and North Carolina spent $307 million on DIPV and DIPV-related mental health care. Studies have shown a correlation between DIPV, mental illness, and substance abuse. North Carolina was found to have higher than normal risk factors for DIPV. In response, the Centers for Disease Control and Prevention partnered with the North Carolina Coalition Against Domestic Violence (NCCADV) to develop the NCCADV 10-year primary prevention plan. This study investigated clinicians' perceptions of the effectiveness of the plan. Phenomenological thought served as the conceptual framework. A purposive sample of 10 clinicians who worked in the region with DIPV clients in the preceding 12 months responded to semistructured interview questions that investigated their perceptions of whether the 10-year plan had a positive influence on victims and if the plan could potentially impact victims' future mental health and substance use behaviors. Interview data were transcribed, open coded, and thematically analyzed with the aid of qualitative software. Study results indicated that these clinicians believed the plan did not impact DIPV clients' current behaviors and was unlikely to have a future impact. A policy recommendation in the form of a position paper resulted from the findings, which recommended the use of mass media that encompass old and new technologies to promote primary prevention efforts by stakeholders and practitioners for the general public. This study has implications for positive social change in that it may provide knowledge to clinicians and stakeholders at the study site that aids them in understanding and preventing DIPV, in addition to promoting an overall increase in public awareness of the negative effects of DIPV.

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Stansfield, Jois Elizabeth. "Education for practice : the development of competence in speech and language therapy students." Thesis, Durham University, 2001. http://etheses.dur.ac.uk/1670/.

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Legner, Debra. "Evaluation of Feature Importance and Satisfaction in Electronic Prescribing Systems Used by Clinicians in Arizona." The University of Arizona, 2009. http://hdl.handle.net/10150/623914.

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Class of 2009 Abstract
OBJECTIVES: To measure the attitudes of Arizona e-prescribing clinicians regarding (1) the importance of key criteria that may be used in the selection of an e-prescribing system; and (2) their satisfaction with key criteria as implemented within their current e- prescribing system. METHODS: This study utilized a print-based questionnaire. The questionnaire was faxed weekly to clinicians who were registered office-based e-prescribers in Arizona until either a response was received or three fax cycles were completed. Clinicians were asked to rate the importance of each e-prescribing feature on a five-point scale, where 1 was not at all important and 5 was extremely important. For each e-prescribing feature, clinicians were asked to rate their satisfaction with their current e-prescribing system on a seven-point scale, where -3 was very dissatisfied and +3 was very satisfied. Demographic data were collected on practice size, practice type, prescription entry, e-prescribing software vendor and system used, year e-prescribing started, and comments. RESULTS: Questionnaires were completed and returned by 114 clinicians. The overall mean for feature importance and satisfaction was 4.22 and 4.92, respectively. Of the 39 criteria, 9 were categorized as having high importance with low satisfaction; and 14 were categorized as having high importance with high satisfaction. The nine criteria with high importance but low satisfaction were related to vendor support, system cost, lack of e-prescribing features, and unrealized benefits. CONCLUSIONS: Arizona e-prescribers are moderately satisfied with the basic functions provided by their electronic prescribing systems. Their dissatisfaction with electronic prescribing systems may be due to vendor support and system costs.

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Stout, Natalie, and Paul Maldonado. "CLINICIANS PERSPECTIVES WHEN TREATING ADULTS IN POVERTY LIVING WITH ANXIETY DISORDERS." CSUSB ScholarWorks, 2017. https://scholarworks.lib.csusb.edu/etd/502.

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The study explored the perceptions of clinical therapists who have conducted treatment on adults who live in poverty with an anxiety related disorder. Previous studies have discussed the relationship between poverty and the development of anxiety related disorders, while others have discussed the negative impacts anxiety can have on physical health, mental health, and social functioning. To improve the efficacy of therapeutic intervention for low income adults with anxiety related disorders, the study explored what clinicians believe are the most effective aspects of therapy to utilize. The study elicited qualitative data, reflecting on the experiences of ten participants who had at least two years of clinical practice with low income adults who suffered from an anxiety disorder. The data was collected through face-to-face interviews, and analyzed the challenges and successes that therapists experienced in their clinical practice. The study found that clinicians viewed cognitive-behavioral approaches as the most effective treatment model when treating this population. The study also revealed that clinical practice experience was perceived to lead to higher rates of positive treatment outcomes. Based on the findings of the study, we recommend that that clinical social workers and agencies continue to utilize and adapt cognitive behavioral approaches when treating low-income adults who suffer from anxiety related disorders.

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Kealy, David. "Optimal psychotherapy process for pathological narcissism : an exploration of clinicians' perspectives." Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/52645.

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Pathological narcissism is a syndrome involving distorted self-image and identity dysregulation. Narcissistic pathology is associated with emotional and interpersonal difficulties, functional impairment, and mental disorder; such patients are seen frequently in mental health settings, and tend to be regarded by clinicians as having complex treatment issues. Despite a vast conceptual literature on pathological narcissism, empirical research regarding treatment is extremely limited. This study was designed to explore clinicians’ perspectives regarding optimal psychotherapy process in the treatment of pathological narcissism. A Q-methodological approach was used to obtain detailed accounts of therapists’ opinions in a manner that would allow for systematic examination. Participants were 34 psychotherapists of various disciplines who responded to email and listserv postings of the recruitment notice. Participants reviewed three clinical vignettes portraying hypothetical patients suffering from grandiose narcissism, vulnerable narcissism, and panic disorder without pathological narcissism. Participants then used the Psychotherapy Process Q-set (PQS), a 100-item Q-sort instrument, to indicate their views regarding optimal therapy process for each hypothetical case. Analysis of therapists’ mean PQS responses using ANOVA found several differences in prospective interventions, according to the different psychopathologies featured in the vignettes. Principal components analysis with varimax rotation was conducted on all 102 Q-sorts and revealed four factors. Detailed descriptions of these ideal therapy processes were interpreted. The factors were also analyzed regarding their relationship to established therapy models. The first factor was endorsed across all three patient types, and represented an introspective, relationally-oriented therapy process. This factor was strongly correlated with established psychodynamic treatments. The second factor, most frequently endorsed for the panic disorder vignette, consisted of a cognitive and alliance-building approach that correlated strongly with expert-rated cognitive-behavioural therapy. The third and fourth factors involved therapy processes focused on the challenging interpersonal behaviours associated with narcissistic vulnerability and grandiosity, respectively, and were endorsed for vignettes presenting these narcissistic subtypes. These factors had fewer and smaller correlations with established treatments. The findings are discussed with respect to implications for the study and treatment of pathological narcissism.
Graduate and Postdoctoral Studies
Graduate

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Jackson, Pamela. "Gender differences in impact and cognitions among clinicians providing trauma therapy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0010/MQ41720.pdf.

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Dissertations / Theses on the topic 'Clinicians'

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